Purpose:
This study aim was to evaluate whether the Extended International
Classification of Functioning, Disability and Health Core Set for Stroke
captured the interventions of a community stroke rehabilitation team
situated in a large city in New Zealand. It was proposed that the
results would identify the contribution of each discipline, and the gaps
and differences in service provision to Māori and non-Māori. Applying
the Extended International Classification of Functioning, Disability and
Health Core Set for Stroke in this way would also inform whether this
core set should be adopted in New Zealand.
Method:
Interventions were retrospectively extracted from 18 medical records
and linked to the International Classification of Functioning,
Disability and Health and the Extended International Classification of
Functioning, Disability and Health Core Set for Stroke. The frequencies
of linked interventions and the health discipline providing the
intervention were calculated.
Results:
Analysis revealed that 98.8% of interventions provided by the
rehabilitation team could be linked to the Extended International
Classification of Functioning, Disability and Health Core Set for
Stroke, with more interventions for body function and structure than for
activities and participation; no interventions for emotional concerns;
and limited interventions for community, social and civic life. Results
support previous recommendations for additions to the EICSS.
Conclusions:
The results support the use of the Extended International
Classification of Functioning, Disability and Health Core Set for Stroke
in New Zealand and demonstrates its use as a quality assurance tool
that can evaluate the scope and practice of a rehabilitation service.
- Implications for Rehabilitation
The
Extended International Classification of Functioning Disability and
Health Core Set for Stroke appears to represent the stroke interventions
of a community stroke rehabilitation team in New Zealand.
As a result, researchers and clinicians may have increased confidence to use this core set in research and clinical practice.
The
Extended International Classification of Functioning Disability and
Health Core Set for Stroke can be used as a quality assurance tool to
establish whether a community stroke rehabilitation team is meeting the
functional needs of its stroke population.
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